Healthcare Provider Details

I. General information

NPI: 1063258747
Provider Name (Legal Business Name): METTA HOUSE OF HOPES AND DREAMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3426 FALKIRK RD NE
RIO RANCHO NM
87144-6477
US

IV. Provider business mailing address

3426 FALKIRK RD NE
RIO RANCHO NM
87144-6477
US

V. Phone/Fax

Practice location:
  • Phone: 505-379-6773
  • Fax:
Mailing address:
  • Phone: 505-379-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: KENNETH ANDREW ENGLE
Title or Position: OWNER
Credential:
Phone: 505-379-6773